Acne vulgaris: a case of successful treatment.
Introduction:
A 20-year-old woman visited the “Dalvin” clinic complaining of eruptions on her face and back, which had been bothering her for about 5 years.
Complaints:
In addition to the eruptions, the patient noted increased greasiness of her hair – already the next day after washing, they looked bad, stuck together, and seemed oily.
History:
Blackheads on the forehead and nose first appeared at the age of 13. At that time, it was not particularly bothersome, but over time the situation worsened. The same problem with eruptions is present in the patient’s father.
Examination:
The process was acute, the eruptions were symmetrically located on the face, back, and partially in the chest area. Presented with closed comedones, spots, papules (nodules), and occasional pustules (blisters), sometimes on a reddened base. Trichoscopy of the scalp revealed multiple whitish fine-flaky scales around the follicles.
Diagnostic Tests:
The patient was referred for ultrasound of the abdominal and pelvic cavities. She also underwent liver tests (ALT, AST, alkaline phosphatase, albumin) and tests for triglycerides, ferritin, and glycated hemoglobin. The results were normal.
Diagnosis:
Diagnosis: L70 Acne vulgaris of moderate to severe degree.
Treatment:
The patient was prescribed Acnecutan at a dose of 1 tablet twice a day. In case of complications such as dryness, redness, and peeling, specific products were recommended. Additionally, special products with SPF protection and low concentrations of vitamin C were prescribed for post-acne spots.
Hair Care:
For hair care, specific shampoos were recommended along with massaging the scalp with a Tangle Teezer brush during washing.
Outcome of Treatment:
The condition began to improve after just 1.5 months of treatment, but post-acne spots still remained, which disappeared by the 5-6th month of therapy. The scalp cleared of scales, the greasiness decreased significantly, giving the hair a healthy and well-groomed appearance.
Conclusion:
This case confirms that by consulting a doctor who adheres to treatment protocols, relies on randomized studies, and invests love in each patient, it is possible to achieve the maximum positive effect, namely, complete recovery